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2026, Vol: 51, Issue: 3
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Case Report 


Papillary thyroid carcinoma with bone metastasis: Challenges in diagnosis and management

Naufali Rizkiawan, Deasy Ardiany, Isna Mahmudah.


Abstract
We report a 57-year-old female who presented with a progressively enlarging, painful left pelvic mass over four months. Neck examination revealed a palpable thyroid mass. Thyroid function tests revealed atypical central hypothyroidism. Histopathology examination confirmed papillary thyroid carcinoma (PTC) in the thyroid and pelvic lesions. Imaging revealed expansile lytic lesions in the left iliac wing, consistent with bone metastases. FNAB of the pelvic mass demonstrated a metastatic involvement consistent with follicular-variant PTC. She underwent total thyroidectomy with modified neck dissection, followed by levothyroxine therapy and plans for radioiodine ablation. Early recognition and a multidisciplinary approach are critical for optimizing therapeutic outcomes and improving patient quality of life.

Key words: Papillary thyroid carcinoma, thyroid cancer, bone metastasis.


 
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How to Cite this Article
Pubmed Style

Rizkiawan N, Ardiany D, Mahmudah I. Papillary thyroid carcinoma with bone metastasis: Challenges in diagnosis and management. RMJ. 2026; 51(3): 893-895. doi:10.5455/rmj.20260220041758

Web Style

Rizkiawan N, Ardiany D, Mahmudah I. Papillary thyroid carcinoma with bone metastasis: Challenges in diagnosis and management. https://www.rmj.org.pk/?mno=311133 [Access: August 19, 2026]. doi:10.5455/rmj.20260220041758

AMA (American Medical Association) Style

Rizkiawan N, Ardiany D, Mahmudah I. Papillary thyroid carcinoma with bone metastasis: Challenges in diagnosis and management. RMJ. 2026; 51(3): 893-895. doi:10.5455/rmj.20260220041758


Vancouver/ICMJE Style

Rizkiawan N, Ardiany D, Mahmudah I. Papillary thyroid carcinoma with bone metastasis: Challenges in diagnosis and management. RMJ. (2026), [cited August 19, 2026]; 51(3): 893-895. doi:10.5455/rmj.20260220041758


Harvard Style

Rizkiawan, N., Ardiany, . D. & Mahmudah, . I. (2026) Papillary thyroid carcinoma with bone metastasis: Challenges in diagnosis and management. RMJ, 51 (3), 893-895. doi:10.5455/rmj.20260220041758


Turabian Style

Rizkiawan, Naufali, Deasy Ardiany, and Isna Mahmudah. 2026. Papillary thyroid carcinoma with bone metastasis: Challenges in diagnosis and management. Rawal Medical Journal, 51 (3), 893-895. doi:10.5455/rmj.20260220041758


Chicago Style

Rizkiawan, Naufali, Deasy Ardiany, and Isna Mahmudah. "Papillary thyroid carcinoma with bone metastasis: Challenges in diagnosis and management." Rawal Medical Journal 51 (2026), 893-895. doi:10.5455/rmj.20260220041758


MLA (The Modern Language Association) Style

Rizkiawan, Naufali, Deasy Ardiany, and Isna Mahmudah. "Papillary thyroid carcinoma with bone metastasis: Challenges in diagnosis and management." Rawal Medical Journal 51.3 (2026), 893-895. Print. doi:10.5455/rmj.20260220041758


APA (American Psychological Association) Style

Rizkiawan, N., Ardiany, . D. & Mahmudah, . I. (2026) Papillary thyroid carcinoma with bone metastasis: Challenges in diagnosis and management. Rawal Medical Journal, 51 (3), 893-895. doi:10.5455/rmj.20260220041758


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